I'm a counselor who specializes in trauma. There were some good things in this book about healing from psychological abuse, but ultimately the elements that weighed it down sunk it.
The strengths of this book were that it defined a type of abuse that is abstract but harmful and put terms to patterns of behavior that cause harm. I also appreciate how the author points out that women are just as capable and culpable of this type of abuse as men and the focus on how this does not just occur in the context of romantic relationships, but can and does occur in families, in the workplace, in churches and between platonic friends. So much of what is written about psychological abuse describes how it occurs in romantic relationships despite the fact that it occurs in many forms of relationships, so I appreciated the broad focus. As a counselor, I also appreciated that she let people know that not every counselor and client will connect and click, and that good counselors realize this and will not take offense if you decide to work with someone else (bad counselors might, but you should take that as a sign that you made the right decision to switch), and this is something that I feel is important for people to realize when finding a counselor.
As for the weaknesses, to Ms Thomas simply is not a good writer. While I understand that this is for a lay audience, this book read like a layperson's blog post or an answer written on Quora. She would also try to hard to be friendly and casual, and in a book about such a serious topic it came off as strange. It did not feel professional and she would often go off on tangents where she would vent about an issue or make jabs at people who have come to different conclusions than she has or counselors with a different way of approaching clients (and undermined her earlier good stuff about finding a counselor who is the right fit for you). Note, I felt this even on topics I agreed with her on.
Indeed, it included a lot of pop psychology fads that counselors can fall into. From empaths to broad claims about people with Narcissistic Personality Disorder, Ms. Thomas made assertions that may have some truth to them but have not been rigorously tested. Which leads me to further my convictions that graduate programs in counseling and social work need to include classes in how to evaluate claims. While this was not a research book, despite the opening chapter where Ms. Thomas talks about a survey she did, I felt some of the tangents she went off on were not productive at best, harmful at worst. In all, it was heavily anecdotal.
At one point Ms. Thomas made statements that victims were empaths. While many could potentially be high in the the trait of empathy, she did not present any rigorous studies that show this to be true, and while this is a common assertion on Quora that helps survivors to feel good, survivors have a lot of different personality traits and vulnerabilities. From what I've seen the bigger factor is growing up in a home where such behaviors are common and perceived as normal, though psychological abuse is so insidious that not even this is a blanket statement that can be applied to every survivor. That statement was at the benign end though.
What bothered me more was how Ms. Thomas focused on people with Narcissistic Personality Disorder, psychopaths and sociopaths as the sole perpetrators of this type of abuse. First, there is a lot of confusion among laypeople about people with NPD and APD and the terms psychopath and sociopath are also poorly understood, and Ms. Thomas never defines them well. Basically, the way Ms. Thomas defines narcissists, psychopaths and sociopaths you would come to the conclusion that they are defined by the type of abuse they inflict, when they aren't. People with NPD and APD are diagnosed by having a lack of empathy combined with grandiosity, disregard for moral standards or some other trait(s). And yes, they often they do engage in abusive behaviors, but you won't find the Lovebomb-Devalue-Discard cycle in the DSM-5. Second, people who do not meet the criteria for these personalities disorders can engage in this type of abuse. Essentially, not every person who uses gaslighting is a narcissist, but all narcissists use gaslighting. It felt reckless to lump all abusive people as narcissistic or as psychopaths.
And while Ms. Thomas paid lip service to the idea that she can't diagnose someone based on second hand information, she spent a lot of time forcefully arguing (venting really) that narcissists are deliberate in their abuse. While this is very likely true, it's not helpful. It keeps the focus on the abuser when healing needs to be about the survivor. In my experience is it better to focus on whether the behaviors are acceptable, whether or not there is change when confronted, etc, then on the motivations of a person who is not present. While some clients do get stuck on their abuser's motivations, this is more reason to explore how it would help that person to move forward if they knew their abuser's motivations. And while I am sure many abusers are deliberate in their abuse, I am also sure there are plenty that are not. That ignorance does not make their behavior less harmful, though, and that is where the focus needs to be.
Where the book really failed is on how to leave an abusive partner. While many people who engage in psychological abuse are not physically violent, some will become so should their partner leave, and there was no discussion on how to do this safely. There was also no discussion on how to cope with forcefully co-parenting with an ex-abusive partner, particularly one who is using these techniques to turn a child against their parent (parental alienation). Unfortunately sharing a child with an abuser is a connection that keeps people tied to someone who is toxic and this was not addressed at all. Setting boundaries is a complex topic, and a lot of the nuance was stripped of it, as it was from other topics.
Given that Ms. Thomas did address psychological abuse in forms outside of romantic relationships, there was so much that she could have explored, but really this never materialized because so much of the nuance and complexity of these situations was stripped away. Which was an overall fault of the book, taking a very complex topic and simplifying it to the point of absurdity. And given how much there was to explore, this book was rather short. There was so much about healing from psychological abuse that was left untouched that needed to be touched on.
While there is good information on what psychological abuse looks like, and this form of abuse is so poorly known and understood in the broader community anything that changes that helps, the faults of this book are too great for me to recommend it to my clients and in that measure I regret spending my time with it. Would not recommend.